Blood clotting test (PT/INR) Cost by Hospital

Blood clotting test (PT/INR) is a laboratory test. Prices are from 2353 US hospitals across 52 states, from their machine-readable files.

$37median cash price · 2353 hospitals, 52 statestypically $10–$110 depending on the hospital
≈ 8.6× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$66
Cash / self-pay
$37
Insurer-negotiated
$10
Medicare pays
$4
$10$110
Median cash $37  ·  Medicare $4  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $37 — about 8.6× the Medicare rate ($4). High vs Medicare. A fair cash price is usually within ~2× Medicare ($9).

💡 Asking for the cash price instead of the $66 list price could save about $29 (44%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Saint Thomas Hospital for Spinal Surgery Nashville, TN $6 $7 — — —
UCI Health-Orange Orange, CA $6 $6 ★ 4/5 318 min —
UCI Health-Fountain Valley Fountain Valley, CA $6 $6 ★ 2/5 158 min —
College Medical Center Long Beach, CA $6 $4 ★ 3/5 322 min —
College Hospital Cerritos, CA $6 $4 — — —
Glendora Hospital Glendora, CA $6 $4 — — —
Hills & Dales General Hospital Cass City, MI $6 $23 ★ 4/5 91 min —
Abrom Kaplan Memorial Hospital Kaplan, LA $6 $6 — 90 min —
Oklahoma Heart Hospital, Llc Oklahoma City, OK $6 $11 ★ 4/5 154 min —
Oklahoma Heart Hospital South, Llc Oklahoma City, OK $6 $11 ★ 5/5 140 min —
Manhattan Surgical Hospital Llc Manhattan, KS $6 $3 — — —
Nacogdoches Memorial Hospital Nacogdoches, TX $6 $10 ★ 2/5 174 min —
University of Texas Medical Branch Galveston Galveston, TX $6 $5 ★ 3/5 190 min —
Dominican Hospital Santa Cruz, CA $6 $6 ★ 4/5 183 min —
Ranken Jordan Pediatric Bridge Hospital Maryland Heights, MO $6 — — — —
Ochsner LSU Health Shreveport Shreveport, LA $6 $4 ★ 2/5 247 min —
Pih Health Downey Hospital Downey, CA $6 $5 ★ 4/5 242 min —
Deckerville Community Hospital Deckerville, MI $6 $16 — 85 min —
Seton Medical Center Harker Heights Harker Heights, TX $6 $25 ★ 4/5 174 min —
Ochsner Medical Center Acute New Orleans, LA $6 $6 ★ 4/5 174 min —
Rochester General Hospital Rochester, NY $6 $4 ★ 2/5 233 min —
Surgical Institute of Reading Wyomissing, PA $6 $20 — — —
Coosa Valley Medical Center Sylacauga, AL $7 $6 ★ 3/5 124 min —
Mental Health Emergency Center, Inc Milwaukee, WI $7 $4 — — —
Mark Twain Medical Center San Andreas, CA $7 $6 ★ 3/5 123 min —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Blood clotting test (PT/INR)

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $37; Medicare pays $4.

InsurerHospitalsNegotiated median
Independent Health 53
$4
$3 – $5
Amerigroup 182
$4
$2 – $24
Tricare / VA 467
$4
$4 – $40
Medicare 617
$4
$4 – $28
Medicaid 392
$4
$3 – $21
Devoted Health 260
$5
$4 – $5
Univera 16
$5
$4 – $6
Highmark 138
$5
$3 – $20
MVP Health Care 83
$5
$4 – $38
Molina Healthcare 609
$5
$4 – $35
UnitedHealthcare 1649
$5
$4 – $64
Humana 1163
$5
$4 – $52
EmblemHealth 77
$5
$4 – $45
Centene / Ambetter 880
$5
$4 – $76
Bright Health 67
$5
$4 – $9
Anthem 641
$5
$4 – $38
Geisinger 71
$6
$4 – $27
UPMC Health Plan 106
$6
$4 – $21
AmeriHealth 259
$6
$4 – $37
Kaiser Permanente 243
$8
$4 – $78
Oscar Health 235
$8
$4 – $31
Blue Cross Blue Shield 1406
$9
$4 – $70
UCare 74
$10
$4 – $43
SelectHealth 48
$10
$4 – $53
Workers' Comp / No-Fault 160
$10
$6 – $78
Priority Health 60
$13
$3 – $46
Cigna 1280
$13
$4 – $82
Aetna 1526
$14
$4 – $78
Health Net 335
$14
$4 – $109
Harvard Pilgrim 58
$17
$4 – $51
Medica 252
$19
$4 – $81
HealthPartners 286
$25
$4 – $71
Sanford Health Plan 81
$30
$5 – $71
Security Health Plan 56
$31
$4 – $59
AvMed 64
$34
$5 – $166
Coventry 173
$37
$5 – $98
MultiPlan / PHCS network 924
$50
$11 – $147
Healthcare Highways 51
$82
$13 – $226

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
New Jersey$13
New York$15
Rhode Island$19
Arkansas$20
Tennessee$20
Idaho$22

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

ClinicianSpecialtyLocationMedicare services
Jeffrey Dlott, M.D.PathologyJacksonville, FL11,431
Kelie Mercier, F.N.P.Nurse PractitionerRedding, CA7,392
Jeffrey Bahr, M.D.Internal MedicineMilwaukee, WI4,183
Michelle Schear, APRNNurse PractitionerCorydon, IN4,067
Matthew Wolff, MDInterventional CardiologyMadison, WI3,775
Bradley Karon, M.D.PathologyRochester, MN3,617
Bhavini Carns, M.D.PathologyMankato, MN3,537
Qun Lu, MDPathologyScottsdale, AZ3,394
Susan Collazo, APRN, CNPNurse PractitionerWinfield, IL3,046
Erin Shaw, NPNurse PractitionerFort Wayne, IN2,794
Susanne Carmack, M.D.PathologyOlympia, WA2,641
Rudy Haddad, M.D.CardiologySan Angelo, TX2,638

Browse doctors by specialty & city →

Does Medicare cover Blood clotting test (PT/INR)?

Yes — Medicare generally covers Blood clotting test (PT/INR). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $4. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $1 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 2353 US hospitals across 52 states, the typical (median) cash price is $37, versus a chargemaster (list) price around $66, a median insurer-negotiated rate of $10, a Medicare rate of about $4. Most cash prices fall between $10 and $110 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Blood clotting test (PT/INR) cost without insurance?
The median cash (self-pay) price across 2353 US hospitals is $37. Most hospitals fall between $10 and $110. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Blood clotting test (PT/INR)?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $4). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Blood clotting test (PT/INR)?
Medicare pays about $4. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Blood clotting test (PT/INR) prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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